Cook, Shane

Cook, Shane is an individual health care provider with primary practice located at 1301 Pennsylvania Ave Ste 213 , Des Moines IA 50316-2365. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Cook, Shane can be contacted via phone (515) 224-1414.

Contact Information

Primary practice address
1301 Pennsylvania Ave Ste 213 Des Moines IA 50316-2365
Fax: (515) 224-5140
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 44405 Iowa
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 44405 Iowa

Profile Details

NPI number 1831483536
LBN Legal business name Cook, Shane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2011
Last updated Dec 29th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831483536 NPPES
Iowa MEDICAID 1831483536

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